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421.
Located within a context of widespread change social work professionals are required to navigate tensions between organisational imperatives and developing effective relationships with families. Achieving effective partnership working is premised on the development of relational ways of working where trust is formed through co-creation. The recent emergence of 'Fast-track' approaches in education and training reflects a shift away from developing skills in critical/analytical reflection, towards an employer-led approach that prioritises the need for 'ready practitioners'. Simultaneously there has been change in the family justice system, culminating in the Children and Families Act 2014 and the 26-week time frame for the completion of care cases. This paper explores current contradictions within social work practice. Pivotal is defining the role of social work within a contemporary English jurisdiction. Adopting deeper relational ways of working with families may help to define the boundaries of a profession that appears to have lost its identity. Rather than facing the prospect that the door is closed on the possibility of reclaiming practice that prioritises and values professional judgement and discretion, this paper reflects upon some positive examples of relational work with families by social workers within different sectors of practice. 相似文献
422.
Stephanie R. Penney Lisa Marshall Alexander I. F. Simpson 《The journal of forensic psychiatry & psychology》2018,29(3):368-386
Individuals admitted to secure care often experience lengthy hospitalizations and are likely to be admitted on more than one occasion. In the context of growing demand and costs associated with secure care, the current study investigates the frequency and reasons for readmission among 87 forensic patients recently discharged into the community. We identify risk factors that are associated with the likelihood of readmission and describe areas of overlap and discordance with the existing literature in civil and forensic samples. Using a prospective design that included patient follow-up interviews and records review, we found that 28% of patients were readmitted on one or more occasions over a 12-month period. Psychiatric decompensation, substance use, and treatment non-adherence were the central reasons prompting readmission. Patients with one or more readmissions were found to have spent significantly more time in the forensic mental health system as compared to patients not readmitted. They were more likely to have a substance use disorder and were estimated to be at higher risk for violence. Results replicate the finding of low rates of serious violence and reoffending among discharged forensic patients, and substantiate the centrality of substance use as a growing and clinically important treatment issue. 相似文献
423.
Thomas J. Holt Mae Griffith Noah Turner Emily Greene-Colozzi Steven Chermak Joshua D. Freilich 《犯罪学与公共政策》2023,22(4):825-848